Active NPI
Christine McKay, LMP
- Community Health Worker
- Redmond, WA
National Provider Identifier
1376936989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MA00016305
- Practice address
- 17609 NE 88TH PL
Redmond, WA 98052-3252 - Phone
- (224) 578-4122
- NPI assigned
- Mar 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA00016305 | WA | Primary |
Addresses
Primary practice location
17609 NE 88TH PL
Redmond, WA 98052-3252
Mailing address
PO Box 2374
Redmond, WA 98073-2374
Phone (224) 578-4122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00016305 | WA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425686400000",
"number": "1376936989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2374",
"city": "REDMOND",
"state": "WA",
"postal_code": "980732374",
"telephone_number": "224-578-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17609 NE 88TH PL",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523252",
"telephone_number": "224-578-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "CHRISTINE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-07",
"last_updated": "2015-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "MA00016305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.